Pigmented Deposits on a Boston Keratoprosthesis From Topical Ibopamine

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Purpose:To report a case of pigmented deposits on a type I Boston keratoprosthesis (KPro) associated with the use of topical ibopamine as a treatment for hypotony.Methods:Case report and literature review.Results:The dopamine-like agent ibopamine caused black deposits on the bandage lens and on the front plate of the Boston KPro that resulted in reduced visual acuity. Change to a daily disposable contact lens and regular cleaning of the KPro front plate with diluted baby shampoo eliminated this problem.Conclusion:This is the first report of this complication with topical ibopamine use and should be considered when ibopamine is used chronically for hypotony.

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